It can take up to 20 min or so to get it in. Pull syringe back to the 8 ml mark do this over and over again while very gently pushing some in. Always use a 10 ml syringe and attach it directly to hub of the catheter or at the cap. None of the IV nurses I work with like the stopcock method as described in previous posts. The extension set and the IV tubing should be replaced after being wiped with 2% chlorhexidine gluconate or betadine and allowed to dry for 30 sec. Once catheter patency has been established, the stopcock can be removed. When infant status allows, leave Cathflo in the catheter for 8 hr with initial instillation for improved declotting results and initiate PIV for fluid.Ħ. If no blood is returned, the procedure may be repeated, allowing Cathflo to remain instilled for 8 hr. If blood is returned, aspirate 1 ml of waste and flush the line with normal salinebefore infusing or flushing with heparinized normal saline solution. Then, open the stopcock and check for blood return. Close the stopcock and allow the Cathflo to remain in the PICC catheter for at least 2 hr. The procedure may be repeated immediately to ensure full instillation of the catheter.ĥ. The Cathflo should be drawn into the PICC catheter. Close the stopcock to the aspirating syringe and open it to the Cathflo syringe while maintaining pull on the aspirating syringe. Gently aspirate the catheter with the 10-ml syringe until resistance is felt.Ĥ. Close the stopcock to the Cathflo syringe and open it to the empty 10-ml syringe. Attach a 3-ml syringe with the appropriate Cathflodosage (PICC = 0.3 ml) to one port of the stopcock and an empty 10-ml syringe to the other port.ģ. Using sterile technique, attach a three-way stopcock primed with Cathflo to the PICC hub. Wipe the PICC hub with 2% chlorhexidine gluconate and allow it to air dry for 30 s. Instillation may be performed by APNs, and PICC-team members.ġ. It may explain it better.Īlteplase (Cathflo) Instillation to Clear a Clotted PICC
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